Provider Demographics
NPI:1942440987
Name:CITY OF GLEN COVE
Entity Type:Organization
Organization Name:CITY OF GLEN COVE
Other - Org Name:CITY OF GLEN COVE VOLUNTEER EMS CORPS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PANZENBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-676-2004
Mailing Address - Street 1:PO BOX 2563
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802-2563
Mailing Address - Country:US
Mailing Address - Phone:800-207-5737
Mailing Address - Fax:
Practice Address - Street 1:8-10 GLEN COVE AVE
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2798
Practice Address - Country:US
Practice Address - Phone:516-676-2311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2957341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance